钟灿,何红晨,黄双霜,等.虚拟现实技术对脑卒中偏瘫患者上肢运动功能恢复的影响的Meta分析[J].中华物理医学与康复杂志,2019,41(6):463-468
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| 虚拟现实技术对脑卒中偏瘫患者上肢运动功能恢复的影响的Meta分析 |
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| DOI：DOI:10.3760/cma.j.issn.0254-1424.2019.06.017 |
| 中文关键词: 脑卒中 偏瘫 虚拟现实 上肢功能 Meta分析 |
| 英文关键词: Stroke Hemiplegia Virtual reality Upper extremities Meta-analyses |
| 基金项目: |
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| 中文摘要: |
| 目的 采用Meta分析软件评价虚拟现实技术对脑卒中偏瘫患者上肢功能康复的临床疗效。 方法 检索并选取公开发表的关于虚拟现实技术治疗偏瘫患者上肢功能障碍的临床随机对照试验文献,对符合纳入标准的,采用RevMan5.3版统计学软件进行分析。 结果 本研究共纳入19篇文献,共计879例患者。经Meta分析发现,治疗后，虚拟现实组的上肢Fugl-Meyer运动功能评定量表(FMA-UE)评分优于常规组,差异有统计学意义(P＜0.01)；但虚拟现实技术并不能显著改善功能独立性评定量表(FIM)评分和积木盒障碍测试(BBT)，差异无统计学意义(P>0.05)。 结论 与常规康复训练相比,虚拟现实技术可促进脑卒中偏瘫患者上肢运动的恢复。 |
| 英文摘要: |
| Objective To analyze the clinical efficacy of using virtual reality (VR) to improve the upper limb function of hemiplegic persons. Methods A search was conducted in the PubMed, Cochrane Library, EMBASE, CNKI and Wanfang Data as well as VIP for reports of randomized and controlled studies of using VR in training upper limb function after stroke. A meta-analysis was then performed using version 5.3 of the Review Manager software. Results Ninety studies involving 879 patients were found and analyzed. The data showed that VR was significantly more effective than conventional training in improving Fugl-Meyer assessment scores. It was not superior, however, in improving average Functional Independence Measure scores or performance in the box and blocks test. Conclusion VR is superior to conventional training in promoting the recovery of upper limb function after a stroke. |
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